Secondary surgical intervention is done to treat internal rotation contracture and resultant glenohumeral deformity. There are several operation done to release internal rotation contracture including: anterior capsular release, Z-plasty lengthening of the subscapularis tendon with or without transfer of muscles for external rotation; pectoralis major release with transfer of the latissimus and teres major as advocated by Hoffer and colleagues; subscapularis slide with and without a latissimus transfer as originally described by Carlioz and Brahimi and recommended by Gilbert et al; , arthroscopic release of the internal rotation contracture with or without latissimus transfer and rotational osteotomy of the humerus.